Coverage and Benefits

Blue Choice Options

Open Access Plan Tiers I, II, III: Broad Access, Personal Choice, Cost Savings

You now have access to a plan that is designed for members who want the benefits of a PPO and the flexibility to use a large network when the need arises — all at a price lower than our traditional PPO plan. You have a wide choice of providers in Illinois:

• Over 89,900 providers and 232 hospitals in the OAP Tier I network*
• Over 103,250 providers and 266 hospitals in the PPO network (OAP Tier II)*
• Tier III out-of-network providers

When traveling outside the state, OAP members also get access to BlueCard^®, a national network of independently contracted providers. The BlueCard Program enables access to more than 90% of hospitals and 80% of physicians nationwide.

Note: Springfield Clinic has returned to the OAP network as a Tier II provider.

*As of February 2024

The HMOs of BCBSIL: A Powerful Choice

Your HMO plan — Blue Advantage HMO^SM or HMO Illinois — provides the largest HMO network in Illinois, including preventive care, emergency treatment and care when you’re away from home. Unlike other HMO plans, BCBSIL lets you and your doctor make decisions about what care is best. Then, we reward providers with the best outcomes.

Summary of Benefits

Effective August 2024 - June 2025

• BCBSIL Enrollment Guide
• Employee and Retiree – OAP Plan Design Sheet
• Employee and Retiree – HMO Plan Design Sheet
• College Insurance Program – OAP Plan Design Sheet
• College Insurance Program – HMO Plan Design Sheet
• Local Government Health Plan – OAP Plan Design Sheet
• Local Government Health Plan – HMO Plan Design Sheet
• Teachers' Retirement Insurance Program – OAP Plan Design Sheet
• Teachers' Retirement Insurance Program – HMO Plan Design Sheet

Effective July 2023 - June 2024

• BCBSIL Enrollment Guide
• Employee and Retiree – OAP Plan Design Sheet
• Employee and Retiree – HMO Plan Design Sheet
• College Insurance Program – OAP Plan Design Sheet
• College Insurance Program – HMO Plan Design Sheet
• Local Government Health Plan – OAP Plan Design Sheet
• Local Government Health Plan – HMO Plan Design Sheet
• Teachers' Retirement Insurance Program – OAP Plan Design Sheet
• Teachers' Retirement Insurance Program – HMO Plan Design Sheet

Benefit Booklets

• Employee and Retiree – OAP
• Employee – HMOI
• Employee – Blue Advantage HMO
• Retiree – HMOI
• Retiree – Blue Advantage HMO
• College Insurance Plan – OAP
• College Insurance Plan – HMO
• College Insurance Plan – Blue Advantage HMO
• Local Government Health Plan – OAP
• Local Government Health Plan – HMOI
• Local Government Health Plan – Blue Advantage HMO
• Teacher's Retirement Insurance Program – OAP
• Teacher's Retirement Insurance Program – HMOI
• Teacher's Retirement Insurance Program – Blue Advantage HMO

For benefit information, contact Customer Service at the number on your member ID card.

This is a summary of your benefits. For full benefit information, refer to your contract or certificate.